Shane Michell Jackson is a Gilmer, Texas based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Shane Michell Jackson is 16480 for Mental Health Counselor in Texas. Her current practice location is 115 W Tyler St, Gilmer. Patients can book an appointment with her at 903-746-7643.
Shane Michell Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Shane Michell Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Shane Michell Jackson
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
LPC
Accepts Medicare Assignment:
No
Practice Address:
115 W Tyler St, Gilmer, Texas, 75644-2239
Phone:
903-746-7643
Fax:
903-843-4336
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1922173897
NPI Enumeration Date:
22 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Michell Jackson are as mentioned below.
License Number
Specialization
State
Status
16480
Mental Health Counselor
Texas
Primary
4128
Addiction (Substance Use Disorder) Counselor
Texas
Secondary
16480
Mental Health Counselor
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Shane Michell Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
16480
Other
Texas
LPC
4128
Other
Texas
LCDC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1551, Gilmer, Texas
Zip:
75644-1551
Phone Number:
903-746-7643
Fax Number:
903-843-4336
Patients can reach Shane Michell Jackson at 115 W Tyler St, Gilmer, Texas or can call to book an appointment on 903-746-7643. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.